SJT: Adult Safeguarding (Vulnerable Adults, Domestic Abuse): MSRA SJT Free Podcasts
Description
Adult Safeguarding Deep Dive: Section 42, DASH & MARAC Explained (UK Clinical Law)
Adult safeguarding is one of the highest-stakes areas of UK clinical practice — where patient autonomy, legal duty, confidentiality, and immediate safety collide.
In this deep-dive episode, we break down the full legal and clinical safeguarding framework every UK doctor must understand, including:
✅ The Care Act 2014 Section 42 Duty to Inquire
✅ What legally defines an “adult at risk”
✅ How Making Safeguarding Personal (MSP) shapes every decision
✅ The six safeguarding principles (Empowerment, Prevention, Proportionality, Protection, Partnership, Accountability)
✅ The updated Domestic Abuse Act 2021 definition
✅ The DASH risk assessment tool
✅ When and how cases escalate to MARAC
✅ When confidentiality must be overridden to prevent serious harm
✅ The most dangerous exam and real-world safeguarding pitfalls
You’ll also learn a high-yield step-by-step clinical framework (SAFE42) to apply instantly under pressure in GP, hospital, and emergency settings.
This episode is essential for:
• MSRA SJT preparation
• GP trainees and foundation doctors
• Clinicians managing domestic abuse and vulnerable adults
• Anyone responsible for safeguarding decisions in the NHS
📎 More MSRA resources to accompany this episode:
https://passthemsra.com
00:00 — Clinical scenarios: financial abuse & domestic violence
01:28 — Legal definition of adult safeguarding (Care Act 2014)
02:35 — Section 42 duty to inquire explained
03:29 — Making Safeguarding Personal (MSP)
04:28 — The six safeguarding principles (PPPPA + Empowerment)
05:18 — Proportionality: least intrusive lawful response
06:15 — Domestic Abuse Act 2021 definition
07:07 — DASH risk assessment tool
07:41 — MARAC: multi-agency high-risk protection
08:13 — Immediate police escalation red flags
08:55 — SAFE42 step-by-step clinical framework
10:42 — Confidentiality vs public interest
12:04 — Common safeguarding decision traps
13:18 — Final clinical take-home framework
14:56 — Professional accountability & documentation
United States
